Loading...Loading...Regence medical policies are evidence-based and take into account the available scientific evidence published in peer-reviewed journals, as well as evidence-based clinical practice guidelines and specialty society statements. The process for Regence medical policy development is described in the Introduction to the Regence Medical Policy Manual.
In addition, Regence values the experience and opinions of practicing physicians and other health care providers. Your feedback on our policies is welcome and is an important part of our annual policy review process.
You may provide feedback to us on the following policies by:
- Responding to the email that directed you to this page. Please be sure to identify the policy you are providing comments on in your email response.
Contacting Medical Policy Staff. Please be sure to identify the policy in the policy name field, as well as your name, specialty and contact information. (Note: contact information only needs to be included if you do not regularly receive medical policy email notification from Regence.)
Anesthesiology – Pain Management - (7)
- Hyperbaric Oxygen Therapy, Medicine #14
- Digital Therapeutic Products, Medicine #175
- Digital Therapeutic Products for Attention Deficit Hyperactivity Disorder, Medicine #175.01
- Digital Therapeutic Products for Substance Use Disorders, Medicine #175.02
- Digital Therapeutic Products for Chronic Low Back Pain, Medicine #175.03
- Ultrasound Guidance for Facet Joint Injections, Surgery #135
- Ablation of Peripheral Nerves to Treat Pain, Surgery #236
Behavioral Health - (5)
- Gender Affirming Interventions for Gender Dysphoria, Medicine #153
- Digital Therapeutic Products, Medicine #175
- Digital Therapeutic Products for Attention Deficit Hyperactivity Disorder, Medicine #175.01
- Digital Therapeutic Products for Substance Use Disorders, Medicine #175.02
- Digital Therapeutic Products for Chronic Low Back Pain, Medicine #175.03
Cardiology - (6)
- Oxygen Concentrators, Durable Medical Equipment #91
- Hyperbaric Oxygen Therapy, Medicine #14
- Extracranial Carotid Angioplasty and Stenting, Surgery #93
- Baroreflex Stimulation Devices, Surgery #183
- Intracardiac Ischemia Monitoring, Surgery #208
- Dual Chamber Leadless Cardiac Pacemakers, Surgery #217
Chiropractic - (1)
- Ultrasound Guidance for Facet Joint Injections, Surgery #135
Dermatology - (1)
- Hyperbaric Oxygen Therapy, Medicine #14
Endocrinology - (1)
- Pancreas Transplant, Transplant #06
ENT - (1)
- Oxygen Concentrators, Durable Medical Equipment #91
Gastroenterology - (1)
- Amplitude-Modulated Radiofrequency Electromagnetic Fields (AM RF-EMF) for Cancer Treatment, Durable Medical Equipment #96
General Surgery - (2)
- Hyperbaric Oxygen Therapy, Medicine #14
- Gender Affirming Interventions for Gender Dysphoria, Medicine #153
Genetics - (3)
- Gene-Based Tests for Screening, Detection, and Management of Prostate or Bladder Cancer, Genetic Testing #17
- Reproductive Carrier Screening for Genetic Diseases, Genetic Testing #81
- Genetic Testing for Neurofibromatosis Type 1 or 2, Genetic Testing #84
Hematology Oncology - (4)
- Hyperbaric Oxygen Therapy, Medicine #14
- Intensity Modulated Radiotherapy (IMRT) of the Central Nervous System (CNS), Head, Neck, and Thyroid, Medicine #164
- Intensity Modulated Radiotherapy (IMRT) of the Thorax, Abdomen, Pelvis, and Extremities, Medicine #165
- Hematopoietic Cell Transplantation for Chronic Lymphocytic Leukemia and Small Lymphocytic Lymphoma, Transplant #45.35
Infertility - (1)
- Hyperbaric Oxygen Therapy, Medicine #14
Naturopath - (1)
- Hyperbaric Oxygen Therapy, Medicine #14
Neurology - (7)
- Genetic Testing for Neurofibromatosis Type 1 or 2, Genetic Testing #84
- Hyperbaric Oxygen Therapy, Medicine #14
- Neurofeedback, Medicine #65
- Digital Therapeutic Products for Gait Training, Medicine #175.06
- Extracranial Carotid Angioplasty and Stenting, Surgery #93
- Lysis of Epidural Adhesions, Surgery #94
- Baroreflex Stimulation Devices, Surgery #183
Neurosurgery - (4)
- Genetic Testing for Neurofibromatosis Type 1 or 2, Genetic Testing #84
- Hyperbaric Oxygen Therapy, Medicine #14
- Lysis of Epidural Adhesions, Surgery #94
- Ablation of Peripheral Nerves to Treat Pain, Surgery #236
Obstetrics and Gynecology - (2)
- Reproductive Carrier Screening for Genetic Diseases, Genetic Testing #81
- Gender Affirming Interventions for Gender Dysphoria, Medicine #153
Oncology - (9)
- Amplitude-Modulated Radiofrequency Electromagnetic Fields (AM RF-EMF) for Cancer Treatment, Durable Medical Equipment #96
- Genetic Testing for Neurofibromatosis Type 1 or 2, Genetic Testing #84
- Hyperbaric Oxygen Therapy, Medicine #14
- Intensity Modulated Radiotherapy (IMRT) of the Central Nervous System (CNS), Head, Neck, and Thyroid, Medicine #164
- Intensity Modulated Radiotherapy (IMRT) of the Thorax, Abdomen, Pelvis, and Extremities, Medicine #165
- Intensity Modulated Radiotherapy (IMRT) for Breast Cancer, Medicine #166
- Intensity Modulated Radiotherapy (IMRT) for Tumors in Close Proximity to Organs at Risk, Medicine #167
- Donor Lymphocyte Infusion for Malignancies Treated with an Allogeneic Hematopoietic Cell Transplant, Transplant #45.03
- Hematopoietic Cell Transplantation for Chronic Lymphocytic Leukemia and Small Lymphocytic Lymphoma, Transplant #45.35
Ophthalmology - (3)
- Genetic Testing for Neurofibromatosis Type 1 or 2, Genetic Testing #84
- Hyperbaric Oxygen Therapy, Medicine #14
- Digital Therapeutic Products for Amblyopia, Medicine #175.04
Oral Surgeons - (1)
- Hyperbaric Oxygen Therapy, Medicine #14
Orthopedics - (8)
- Powered and Microprocessor-Controlled Knee and Ankle-Foot Prosthesis and Microprocessor-Controlled Knee-Ankle-Foot Orthoses, Durable Medical Equipment #81
- Genetic Testing for Neurofibromatosis Type 1 or 2, Genetic Testing #84
- Hyperbaric Oxygen Therapy, Medicine #14
- Extracorporeal Shock Wave Therapy (ESWT), Medicine #90
- Digital Therapeutic Products for Chronic Low Back Pain, Medicine #175.03
- Lysis of Epidural Adhesions, Surgery #94
- Ultrasound Guidance for Facet Joint Injections, Surgery #135
- Subtalar Arthroereisis, Surgery #144
Pediatrics - (5)
- Genetic Testing for Neurofibromatosis Type 1 or 2, Genetic Testing #84
- Hyperbaric Oxygen Therapy, Medicine #14
- Neurofeedback, Medicine #65
- Digital Therapeutic Products, Medicine #175
- Digital Therapeutic Products for Attention Deficit Hyperactivity Disorder, Medicine #175.01
Physiatry - (1)
- Ablation of Peripheral Nerves to Treat Pain, Surgery #236
Physical Medicine - (3)
- Powered and Microprocessor-Controlled Knee and Ankle-Foot Prosthesis and Microprocessor-Controlled Knee-Ankle-Foot Orthoses, Durable Medical Equipment #81
- Digital Therapeutic Products for Gait Training, Medicine #175.06
- Ultrasound Guidance for Facet Joint Injections, Surgery #135
Plastic Surgery - (1)
- Gender Affirming Interventions for Gender Dysphoria, Medicine #153
Podiatry - (2)
- Extracorporeal Shock Wave Therapy (ESWT), Medicine #90
- Subtalar Arthroereisis, Surgery #144
Primary Care - (14)
- Powered and Microprocessor-Controlled Knee and Ankle-Foot Prosthesis and Microprocessor-Controlled Knee-Ankle-Foot Orthoses, Durable Medical Equipment #81
- Oxygen Concentrators, Durable Medical Equipment #91
- Lower Extremity Sensory Prostheses, Durable Medical Equipment #95
- Genetic Testing for Neurofibromatosis Type 1 or 2, Genetic Testing #84
- Hyperbaric Oxygen Therapy, Medicine #14
- Gender Affirming Interventions for Gender Dysphoria, Medicine #153
- Digital Therapeutic Products, Medicine #175
- Digital Therapeutic Products for Attention Deficit Hyperactivity Disorder, Medicine #175.01
- Digital Therapeutic Products for Substance Use Disorders, Medicine #175.02
- Digital Therapeutic Products for Chronic Low Back Pain, Medicine #175.03
- Extracranial Carotid Angioplasty and Stenting, Surgery #93
- Lysis of Epidural Adhesions, Surgery #94
- Baroreflex Stimulation Devices, Surgery #183
- Intracardiac Ischemia Monitoring, Surgery #208
Psychiatry - (5)
- Neurofeedback, Medicine #65
- Gender Affirming Interventions for Gender Dysphoria, Medicine #153
- Digital Therapeutic Products, Medicine #175
- Digital Therapeutic Products for Attention Deficit Hyperactivity Disorder, Medicine #175.01
- Digital Therapeutic Products for Substance Use Disorders, Medicine #175.02
Pulmonology - (3)
- Oxygen Concentrators, Durable Medical Equipment #91
- Hyperbaric Oxygen Therapy, Medicine #14
- Bronchial Thermoplasty, Surgery #178
Radiation Oncology - (5)
- Intensity Modulated Radiotherapy (IMRT) of the Central Nervous System (CNS), Head, Neck, and Thyroid, Medicine #164
- Intensity Modulated Radiotherapy (IMRT) of the Thorax, Abdomen, Pelvis, and Extremities, Medicine #165
- Intensity Modulated Radiotherapy (IMRT) for Breast Cancer, Medicine #166
- Intensity Modulated Radiotherapy (IMRT) for Tumors in Close Proximity to Organs at Risk, Medicine #167
- Opto-acoustic Imaging of the Breast, Radiology #60
Radiology - (3)
- Hyperbaric Oxygen Therapy, Medicine #14
- Extracranial Carotid Angioplasty and Stenting, Surgery #93
- Ablation of Peripheral Nerves to Treat Pain, Surgery #236
Rheumatology - (1)
- Hyperbaric Oxygen Therapy, Medicine #14
Solid Organ Transplants - (1)
- Pancreas Transplant, Transplant #06
Urology - (2)
- Gene-Based Tests for Screening, Detection, and Management of Prostate or Bladder Cancer, Genetic Testing #17
- Gender Affirming Interventions for Gender Dysphoria, Medicine #153